Die Bedeutung der Symptomenkomplexe in der Psychiatrie

Die Bedeutung der Symptomenkomplexe in der Psychiatrie
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精神病学症状复杂性的解释

DOI:
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发表时间:
1991
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影响因子:
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通讯作者:
A. Hoche
A. Hoche
中科院分区:
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文献类型:
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作者:
A. Hoche

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在论文的两位报告人(B)之间分担任务时,大家同意我必须讨论症状复合体的重要性,一方面是它们与疾病形式的关系,另一方面是它们与基本症状的关系。换句话说,我的任务可以说是处理我们目前分类工作的现状。精神病学的历史是医学史上特殊的一章。在迅速发展的过程中,它的决定性阶段被压缩到几十年之内,我们的学科清楚地带有过去这些方面的痕迹。在很长一段时间里,最优秀的工人都专注于专业面临的问题以及如何克服这些问题。这是一场在多条战线上的战斗,或者用一个比喻,就像犹太人在耶路撒冷建造圣殿的情况一样,一手挥舞着铲子,另一手击退敌人。既然从表面上看已经有了很大的进步,整个学科似乎已经达到了某种程度的巩固,人们开始仔细考虑我们科学的基本原则,认识的可能性以及未来的前景和目标,从每一个可能的角度来处理我们暂时使用集体术语精神疾病的大量经验。这绝不是一个均衡的发展。回顾过去,它的出现时断时续,部分是由于一些杰出的思想家个人的刺激产生了发酵作用,部分是由于事件的自然推动。为
In sharing the tasks between the two presenters of papers(b) it was agreed that I have to discuss the significance of symptom complexes in their relation to forms of illness on the one hand and to basic symptoms on the other. To put it another way, my task could be said to deal with the present position as regards our present efforts at classification. The history of psychiatry represents an especial chapter in the history of medicine. In the course of rapid development its decisive phases have been compressed into a few decades and our discipline bears the traces of these aspects of its past clearly enough. Over a long period the best workers were preoccupied with the problems facing the speciality and how to overcome them. It was a battle on several fronts, or to use a metaphor, like the situation of the Jews building the temple in Jerusalem, wielding a trowel in one hand while fighting off their enemies with the other. Now that much has outwardly improved and the discipline as a whole has seemingly achieved some degree of consolidation, there has begun to be some close consideration of the basic tenets of our science, of the possibilities of recognition and of future prospects and goals a most vigorous attempt to deal from every possible angle with the mass of experience to which we temporarily apply the collective term mental illnesses. In no way was this an even development. Viewed retrospectively, it came about in fits and starts due partly to some brilliant individual thinkers whose stimulus had a leavening effect, and partly to the natural impetus of events. For